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CT Scan of the Pelvis With Contrast

New Hampshire rates for HCPCS 72193

This is a CT scan of the pelvis taken after an injection of contrast dye into a vein, which highlights blood vessels and organs for a clearer picture. It provides detailed cross-sectional images of pelvic organs and structures, used to evaluate a wide range of conditions.

Rates data updated October 2026.

How much does CT Scan of the Pelvis With Contrast cost?

$417

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $1,023 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$302 to $550
FacilityA hospital or hospital-owned outpatient department$1,023$339 to $1,413

How much rates vary

Facilitymedian $1,023 · 10th to 90th $282 to $1,413Professionalmedian $407 · 10th to 90th $245 to $724
$200$500$1Kfacility $1,023professional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$436.52
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$281.84
Typical High
$630.96
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$52.48
Typical High
$128.82
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$223.87
Typical High
$436.52
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$223.87
Median
$478.63
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$114.82
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$173.78
Median
$371.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$1,096.48
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$302.00
Median
$354.81
Typical High
$724.44
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$67.61
Median
$79.43
Typical High
$162.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$234.42
Median
$275.42
Typical High
$588.84
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$245.47
Median
$407.38
Typical High
$758.58
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$91.20
Typical High
$169.82
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$302.00
Typical High
$549.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$295.12
Median
$354.81
Typical High
$616.60
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$77.62
Typical High
$141.25
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$234.42
Median
$269.15
Typical High
$457.09
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$38.02
Median
$38.02
Typical High
$44.67
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$89.13
Median
$138.04
Typical High
$186.21
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$56.23
Typical High
$74.13
Aetna
Setting
Professional
Modifier
CT · Older CT scanner
Typical Low
$151.36
Median
$234.42
Typical High
$288.40
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$144.54
Median
$223.87
Typical High
$275.42

Where New Hampshire sits

The same service costs 4.4 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 11th of 51

$417

AK $776UT $178

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.